Proof of Service PersonalCal. Super. - 6th Dist.March 24, 2020208C083039 Santa Clara - Civil a 1 , . Clerk stamps date here whenform isfifed. 5C, -1 04 Proof of Servnce Electronically filed - ‘ Use this form to serve a person, a business, or a public entity. To [earn more by SUPGFIOI’ COUFt Of CA, about proofof service, read What Is "ProofofService ”.7, Form SC-104B. To learn more County 0f Santa C|ara’ about how to serve a business or entity, read How to Serve a Business or Public Entigz, on 5/1 3/2020 4:56 PM Form SC-104C. . . . ReVIewed By: D. Plnhelro Tooserve a(tyusinesis, you rfnist 5:?)6 one of the following people: Case #203C083039 - wner or a so e propne ors p ° Partner (for a partnership) or general partner (for a limited partnership) Env #4336474 - Any officer or general manager (corporation or association) - Any person authorized for service by the business (corporation, association, general partnership, Fm In court name and sneer address.- limitcd partnership) Superior Court or California ~ Any person authorized for service with the Secretary of State (corporation, association, limited County 0f Santa Clara liability company [LLC], limited liability partnership [LLP], limited partnership) 191 NORTH FIRST STREET To serve a public entity, you must first file a claim with that entity, then serve one of the following SAN JOSE’ CA 951 13 people: Fill in case number, case name, healing date, day, time, arm‘ department below: - Clerk (of a city or county) - Chief officer or director (of a public agency) case Number: 205mm)” o Any person authorized for service by the entity , gggeklxlg‘fic a. If you are serving a person, write the person’s name below: ' Against JUAN ANDRES QUINTERO PAVAS JUAN ANDRES QUINTERO PAVAS b. Ifyou are serving a business or entity, write the name of the business or Hearing Date: ' entity, the person authorized for service, and that person’s job titie: 9/3/2020 Time: Dept: Business or Agency Name 1:00 PM 15 Person Authorized for Service Iob Titie ® Instructions t0 Server: You must be at least 18 years old and not be named in this case. Follow these steps: * Give a copy of all the documents checked in© to the person in (D, or - Give a copy of all the documents checked in© to one of the foliowing people: a. A competent adult (at least 18) living with, and at the home of the person in @, or b. An adult (at least 18) who seems to he in charge at the usual workplace of the person in G), or c. An adult (at least 18) who seems to be in charge where the person in (D usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in CD and mail a copy of the documents lefi with one of the adults in a, b, or c above to the person in ®. THEN - Complete and sign this form, and - Give or mail your completed form to the person who asked you to serve these court papers, in timefor theform to beflled with the court at least 5 days before the hearing. ® I served the person in (D a copy of the documents checked below: h O a. SC-lOO, Plaintifl's Claim and ORDER t0 Go to Small Claims Court - b. D SC-120, Defendant ’s Claim and ORDER to Go to Small Claims Court w c. D Order for examination flisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court only zfthe orderfor examination was personally served by a registeredprocess server, sherzfl marshal, or someone appointed by the court. (1)D SC-l 34, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) m AT-l38/EJ-125, Application and Orderfor Appearance and Examination d, Other (51,80,350,- NOTICE To LITIGANTS; NOTICE To SMALL CLAIM LITIGANTS; Judicial Councn otoautonma. m.couuinraoa.gov Proof of service Case ID: 5823998 Revised January 1. 2009, Opfional Form . _ Codeotcm Procedure,§§116.34o.415.1o.415.2o (Small c'a'ms} SC 104' Page 1 °f2 VIA FAX FILE Case Number: 208C083039 ‘ill out “a” 0r “b” below: Personal Service: Ipersonally gave copies of the documents checked in© to the person in (D : On (date): 4/29/2020 At (time): S: 15 PM Gender: MALE Age: 36-40 Skin Tone: WHITE Hair: BLACK Eye Color: BROWN Height: SFT SIN - SFT llINWeight: 151 LBS - 170 LBS At this address: Home: 3160 RUBINO DR APT 219 City: SAN JOSE State: CA Zip: 95125 b. D Substituted Service: Ipersonally gave copies of the documents checked in© (a, b, or d) to (check one): D A competent adult (at least 18) at the home of, and living with the person in Q), or D An adult who seems to be in charge where the person in© usually works, or B An adult who seems to be in charge Where the person in® usually receives mail, or has a private post office box (not a U.S. Post Office box), if there is no knOWn physical address for the person in @. I told that adult, “Please give these court papers to (name of person in ®).” Idid this on (date): At (time): At this address: City: State: Zip: Name or description of the person I gave the papers to: After serving the court papers, I put copies ofthe documents listed in® in an envelope, sealed the envelope, and put flrst-class prepaid postage on it. I addressed the envelope to the person in G) at the address Where I left the copies. I mailed the envelope on (date): from (city, state): by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b.U At an office or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, or c. D With someone else I asked to mail the documents to the person in ®, and I have attached that person’s completed Form SC-104A. © Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B 3. City: SAN JOSE State: CA Zip: 951 13 County of registration: SANTA CLARA Registration number: 1585 Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA - Registration number: 1585 © I declare under penalty of perjury under California state law that I am at least 18 years old and not named in this case and that the information above is true and correct. Date 4/29/2020 HECTOR TORRES ’ Cl/O Type or print server ’s name Server signs here after serving Case ID: 5823998Revised January 1. 2009 Proof Of Service (Small Claims) 86-1 04, Page 2 of 2 VIA FAX FILE